| NPI | 1154396018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS17265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS009628L) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-04-12 |