| NPI | 1205826492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 14523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36075) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2021-11-29 |