| NPI | 1851989610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.18931) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 18931) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-29 |