| NPI | 1639150444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.44787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME110556) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-12-12 |