| NPI | 1982195384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD210348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8180) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-02-10 |