| NPI | 1073543633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 203126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 98073) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-03-04 |