| NPI | 1093798290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 60822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 37135) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-01-29 |