| NPI | 1124339924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116022638) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2020-12-09 |