| NPI | 1629638747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045595) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-08-25 |