| NPI | 1588280796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046576) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-07-06 |