| NPI | 1386710184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME111608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101232003) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-06-07 |