| NPI | 1922537851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2023-1053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 281700) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-10-13 |