| NPI | 1730673328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 89138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL52029) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-07-27 |