| NPI | 1962922096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0089519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017019520) |
| 207R00000X Internal Medicine (Licence: GA 96050) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-07-25 |