| NPI | 1649829664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22833) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22833) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-10-22 |