| NPI | 1134581762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 82512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 82193) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-02-02 |