| NPI | 1750942272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: IA R-11929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL15845) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-11-16 |