| NPI | 1376756320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1018267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 34811) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-05-06 |