| NPI | 1891457933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL L.6164SP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 329662) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-02-16 |