| NPI | 1134327034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 43071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81964) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-09-08 |