| NPI | 1154942175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101027327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151014259) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-08-21 |