| NPI | 1518301076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101261475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0075462) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2023-11-27 |