| NPI | 1750737342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 329695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-02245) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-09-27 |