| NPI | 1174012033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22296) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 34848) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-12-27 |