| NPI | 1467036764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5151014936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 53515224836) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |