| NPI | 1700345725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-01254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 291475) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-09-15 |