| NPI | 1649830498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 331481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116032621) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-04-12 |