| NPI | 1699367631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023007111) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2023007111) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2024-11-12 |