| NPI | 1558301648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301064054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301064054) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-08-11 |