| NPI | 1972130052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 24194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075641) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-07-05 |