| NPI | 1134795172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-06732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12077) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-08-29 |