| NPI | 1205366911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0088969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL004219) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-02-21 |