| NPI | 1619275427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 070622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 70622) |
| 207R00000X Internal Medicine (Licence: FL ME109294) | |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2022-01-10 |