| NPI | 1588153886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2021-0682) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 61778) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-11-01 |