| NPI | 1538715552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 23401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 34324R) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-03-02 |