| NPI | 1548286818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 035956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224111) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-11 |