| NPI | 1205405966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 5823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.2981) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-08-05 |