| NPI | 1497140925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-02500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 42282) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-11-07 |