| NPI | 1316028210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 061017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.201068) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-02-11 |