| NPI | 1154484772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0012317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT FA1452969) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-01-26 |