| NPI | 1043270788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 64945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me84014) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2021-04-26 |