| NPI | 1841816360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 73888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284670) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2024-02-29 |