| NPI | 1144524828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56219) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2024-11-07 |