| NPI | 1326013541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0069401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101057878) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-02-16 |