| NPI | 1750779443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 39634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39634) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-08-12 |