| NPI | 1245465178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 35179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 68741) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2020-10-27 |