| NPI | 1770075525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351037791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115193) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-08-28 |