| NPI | 1780030619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301109522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 3363-320) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-01-18 |