| NPI | 1982054730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-02812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 83573) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-11-30 |