| NPI | 1154378602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02004729A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 3357) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-04-06 |