| NPI | 1376705715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 31042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31042) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-10-30 |