| NPI | 1467566133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200301344) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 00056175) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-04-12 |