| NPI | 1063488807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101054288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 257466) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-03-19 |