| NPI | 1881018521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 89999) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102204215) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2023-06-30 |