| NPI | 1598261398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-02261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL52268) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-08-02 |