| NPI | 1538387089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 22733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 101594-875) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2024-03-27 |