| NPI | 1750813150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 73628-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67881) |
| 207R00000X Internal Medicine (Licence: IA MD-47588) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-12-01 |