| NPI | 1982068433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND PT15923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211151) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2019-08-08 |