| NPI | 1265763189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D76600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247781) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2024-04-25 |