| NPI | 1699349571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01093097A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077307) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-03-21 |