| NPI | 1306897509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01069188A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 36374) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-03-11 |