| NPI | 1063772234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 206172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22194) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2021-03-30 |