| NPI | 1306026554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 52053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 390200000X) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2020-11-04 |