| NPI | 1235457789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 3237) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2024-09-15 |