| NPI | 1417519455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 101441) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2024-09-30 |