| NPI | 1073714721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 2067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 24444) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-08-31 |