| NPI | 1619977592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 326734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 053976) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2023-08-17 |