| NPI | 1497155527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102206938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016005) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2022-03-31 |