| NPI | 1366933111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 66880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D91586) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2022-07-13 |