| NPI | 1952979361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023012124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021021834) |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2024-06-27 |