| NPI | 1841752359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006227A) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-03-29 |