| NPI | 1982196614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2021017617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11243) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-05-11 |