| NPI | 1104454479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 82845-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 1952311243) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-01-30 |