| NPI | 1386664456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 45001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-3977) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-08-17 |