| NPI | 1578192092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 315926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 77443-20) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-08-15 |