| NPI | 1306821038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 10559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 35289) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2022-03-29 |