| NPI | 1669036232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 92019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82141) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-11-14 |