| NPI | 1548610116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 39494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39494) |
| 207R00000X Internal Medicine (Licence: NC 2019-01150) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-10-19 |