| NPI | 1992332050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-02733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 12420124-1205) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-09-26 |