| NPI | 1922488261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020039468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45074) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-06-13 |