| NPI | 1295726214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 46561) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2019-11-21 |