| NPI | 1174643803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 133948) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-10-22 |