| NPI | 1871169342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME169152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10075283) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-10-04 |