| NPI | 1720345358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D80923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101114) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2025-01-15 |