| NPI | 1760902464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5315086346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112865) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-04-09 |