| NPI | 1265672323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101274933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 238622) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-09-05 |