| NPI | 1053623017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245290) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2023-11-01 |