| NPI | 1609154681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 33530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248532) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2023-01-19 |