| NPI | 1871055962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0096599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R77243) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2023-08-15 |