| NPI | 1356353460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 1476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-107771) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-01-22 |