| NPI | 1366515181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301055112) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5301055112) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-03-25 |