| NPI | 1508362203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101283928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-01488) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-10-04 |