| NPI | 1467080531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 89698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 11699) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-09-12 |