| NPI | 1043708092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-17570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME150019) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-02-26 |