| NPI | 1639796287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME161650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020013287) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-06-29 |