| NPI | 1134183742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 62902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 28388) |
| 207R00000X Internal Medicine (Licence: MO 2005037959) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2019-10-07 |