| NPI | 1629607528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC MD90631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30836) |
| 207R00000X Internal Medicine (Licence: MN 69578) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-01-27 |