| NPI | 1063828655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 007380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D89078) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-08-03 |