| NPI | 1003494139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 98443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 13443) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-05-31 |