| NPI | 1679061840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 97668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 29179) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-10-27 |