| NPI | 1972951820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS15502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5092) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-01-16 |