| NPI | 1275982860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101022397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-01498) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-11-06 |