| NPI | 1356924120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 101191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116035168) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-10-14 |