| NPI | 1063599686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 241782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2000148431) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-02-18 |