| NPI | 1629651849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS20683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020597) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-06-25 |