| NPI | 1104445766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 5900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS20151) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-11-01 |