| NPI | 1316501919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-01643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82138) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-08-22 |