| NPI | 1063906642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS20837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A19177) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-10-22 |