| NPI | 1295992600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 241775) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229185) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2021-01-12 |