| NPI | 1639661234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A198141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275611) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2025-01-23 |