| NPI | 1184144529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H97063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL40720) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-07-18 |