| NPI | 1265910095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 43182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071665) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-09-27 |