| NPI | 1821584814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114859) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-09-09 |