| NPI | 1679700306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101268514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240918) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2020-09-15 |