| NPI | 1578054573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301505066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115270) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-12-07 |