| NPI | 1942707435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101274454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 38982) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-06-28 |