| NPI | 1033195136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 51898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71247) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2022-05-25 |