| NPI | 1912555699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 34102R) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-12-09 |