| NPI | 1114945979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 040119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME125989) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-01-03 |