| NPI | 1275947327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101275292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 305933) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-11-23 |