| NPI | 1942884721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301512324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351048089) |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2024-08-02 |