| NPI | 1457883100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 336895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 30436) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-07-10 |