| NPI | 1508864547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 44498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301063363) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-11-17 |