| NPI | 1609282177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02005125A) |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2024-04-17 |