| NPI | 1659939726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013988) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-08-16 |