| NPI | 1003166885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 263667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 253164) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-02-29 |