| NPI | 1124559513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2022-1123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 61155) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-10-05 |