| NPI | 1053396549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0045706) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0045706) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-01-08 |