| NPI | 1457766974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019025538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 29096) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-05-03 |