| NPI | 1841828910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2023-1104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 12407592-1205) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-08-09 |