| NPI | 1912561564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101276238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L.4967R) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-07-27 |