| NPI | 1154397065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 33230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00025602) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-01-06 |