| NPI | 1265487177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 062596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061313) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-01-07 |