| NPI | 1063874915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 331098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25708) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-02-21 |