| NPI | 1558343897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 1573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038288) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2021-11-06 |