| NPI | 1659799393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2014-0404) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-10-23 |