| NPI | 1275514523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 78924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VI 1197) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2024-08-13 |