| NPI | 1245790393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0015777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 22358) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2022-04-15 |