| NPI | 1104181494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 19049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 14557-I) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-08-20 |