| NPI | 1235391533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 67012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 204681) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-03-12 |