| NPI | 1649346925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD22576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 71345) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-03-07 |