| NPI | 1295266492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1015155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 20215) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-07-21 |