| NPI | 1073740544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301102472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249611) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2023-03-09 |