| NPI | 1376048959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 88538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 88449) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-09-20 |