| NPI | 1700373701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID O-1562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRO-1707) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-09-07 |