| NPI | 1942790373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-00687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101272815) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-09-05 |