| NPI | 1841786019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101279867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 276655) |
| 207R00000X Internal Medicine (Licence: CT 70118) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-05-29 |