| NPI | 1558373688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0055148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME55148) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-12-06 |