| NPI | 1922536549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 104590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76311) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2023-01-11 |