| NPI | 1386179547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-04147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 228202) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-07-14 |