| NPI | 1538126842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101055023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0052741) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2021-02-07 |