| NPI | 1629691480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 284210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA ETLL-993) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-03-07 |