| NPI | 1518318633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2019-0149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 32275) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-05-08 |