| NPI | 1609083807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102202320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005271) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-12-30 |