| NPI | 1114466232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 323810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 27936) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2024-09-06 |