| NPI | 1669953196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22763) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22763) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-09-04 |