| NPI | 1104484419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 180572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301506088) |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2022-10-07 |