| NPI | 1639793839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116035417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT019991) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2021-06-22 |