| NPI | 1003071994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101245165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46887) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-03-04 |