| NPI | 1982227955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 284914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1013080) |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2023-04-24 |