| NPI | 1609079441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-00002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101283570) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-12-30 |