| NPI | 1902396757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02007019A) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-04-28 |