| NPI | 1972024644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A170365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271620) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-07-01 |