| NPI | 1639117229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 064321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200401165) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-01-24 |