| NPI | 1316048739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 232141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 650594183) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-08-10 |