| NPI | 1073034039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023626) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-12-15 |