| NPI | 1104269554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D82094) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-02-26 |