| NPI | 1891144903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267835) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-03-18 |