| NPI | 1235171752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-02006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240015) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-03-19 |