| NPI | 1114458296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 283700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 11) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-04-24 |