| NPI | 1720572308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2021-0270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8284) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-08-15 |