| NPI | 1063407377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 54502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 054502) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2022-11-04 |