| NPI | 1538197843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D68554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 5016) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-03-14 |