| NPI | 1831753243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 102250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4744) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-11-13 |