| NPI | 1578977658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 68391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-9789) |
| 207R00000X Internal Medicine (Licence: KY C1496) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-04-05 |