| NPI | 1689658395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ AZ006893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 006893) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2019-09-18 |