| NPI | 1225190168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101840610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053643) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-12-05 |