| NPI | 1518424241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5151016323) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-05-19 |