| NPI | 1679586879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 40132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055197) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-06-25 |