| NPI | 1598384240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 84054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 74972) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-08-08 |