| NPI | 1396088191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS018033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205651) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-07-13 |