| NPI | 1629630157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101277898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30459) |
| 207R00000X Internal Medicine (Licence: MT 30459) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2023-05-30 |