| NPI | 1528695855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME163099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01093733A) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-07-25 |