| NPI | 1780244822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116036317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82873) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-08-05 |