| NPI | 1215613229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MRO-2422) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC MDO.89956LL) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-06-22 |