| NPI | 1982055711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4900) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-08-12 |