| NPI | 1235113002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 055368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 55368) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2026-01-12 |