| NPI | 1679224158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1018922) |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2024-10-10 |