| NPI | 1770228587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC RTL220242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 310184) |
| 207R00000X Internal Medicine (Licence: NC 220242) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |