| NPI | 1548209455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101258072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 035532) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-12-14 |