| NPI | 1578839544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101278356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME121478) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-12-21 |