| NPI | 1336254945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301061430) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301061430) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-11-29 |