| NPI | 1235588344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MI 4301505271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110116) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-07-21 |