| NPI | 1023123858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 19619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI WVR045752) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-10-16 |