| NPI | 1316146699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 24755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009017497) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-10-25 |