| NPI | 1376514695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-11776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101047598) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2022-07-01 |