| NPI | 1114371895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-17686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 31795) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-04-22 |