| NPI | 1679502355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 36441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME81387) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-05-05 |