| NPI | 1356359871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-47660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-32992) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-07-29 |