| NPI | 1194983759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-03335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 64021) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-08-23 |