| NPI | 1093700445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2003-00442) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2023-03-07 |