| NPI | 1063420164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 20222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 5271) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-05-16 |