| NPI | 1295263564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01086429A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.001504) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-01-27 |