| NPI | 1932751666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 95619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101025837) |
| 208D00000X General Practice (Licence: MI 5151014132) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-06-21 |