| NPI | 1619505542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023019450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30737) |
| 207R00000X Internal Medicine (Licence: MN 69697) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-01-22 |