| NPI | 1255862512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 31605) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 31605) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-02-14 |