| NPI | 1255537080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101258610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 242192) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-10-26 |