| NPI | 1740708114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 19776) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19776) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-10-31 |