| NPI | 1679973960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 136145) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18827) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2019-10-23 |