| NPI | 1750796702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 78748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7187) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2024-01-23 |