| NPI | 1790302362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 84630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL84630) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-01-16 |