| NPI | 1376748806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 066052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241781) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-01-14 |