| NPI | 1538698857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 323541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214062) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-11-30 |