| NPI | 1245497205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 064628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116017630) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-02-15 |