| NPI | 1629462791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0085497) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2024-03-14 |