| NPI | 1699125906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020027557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS16158) |
| 207R00000X Internal Medicine (Licence: FL UO5242) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-10-09 |