| NPI | 1093274987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82316) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-06-15 |