| NPI | 1427519164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 35698) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15571I) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-25 |