| NPI | 1043763782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 267641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 58043) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-07-13 |