| NPI | 1760942122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 075728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 280382) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-09-22 |