| NPI | 1649896218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023006399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020016967) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-05-08 |