| NPI | 1639178098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D57284) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2021-06-07 |