| NPI | 1588697395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 64375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36496) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-02-08 |