| NPI | 1124648142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 70412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 24356) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-05-29 |