| NPI | 1649458670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 061586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 01599) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-01-10 |