| NPI | 1487813259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101256652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 30783) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-04-15 |