| NPI | 1861952814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087974A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67818) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-01-19 |