| NPI | 1639676588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102207004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS021741) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2023-11-28 |