| NPI | 1639158330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-04533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 41561-021) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-05-18 |