| NPI | 1548821416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2021010435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021010435) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-07-12 |