| NPI | 1154732188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2018-0460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017014907) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-10-23 |