| NPI | 1356367452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 27307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 15315) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-09-28 |