| NPI | 1629310370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MC-1207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-58346) |
| 208D00000X General Practice (Licence: LA 303161) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-02-06 |