| NPI | 1033524897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 36261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 6253) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-10-30 |