| NPI | 1669081840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND PT20112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL16662) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-07-28 |