| NPI | 1588891576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 140981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012019712) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-06-05 |