| NPI | 1073807517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 006334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R1895) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-01-31 |