| NPI | 1467957787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 86602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 102057) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-11-01 |