| NPI | 1528325842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102206686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017427) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-09-01 |