| NPI | 1023783750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301511608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047866) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-06-29 |