| NPI | 1972950202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 025850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301045750) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |