| NPI | 1255890513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 88358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 11173) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2024-06-10 |