| NPI | 1588152334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023005806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.142381) |
| 207R00000X Internal Medicine (Licence: KS 04-47298) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-02-21 |