| NPI | 1174114359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND PT20512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL16663) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-01-23 |