| NPI | 1336131762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101265606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9701797) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-12-10 |