| NPI | 1558854737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351040036) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-12-06 |