| NPI | 1063073096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS21142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS023299) |
| 207R00000X Internal Medicine (Licence: IA R-11683) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-08-21 |