| NPI | 1689939936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020045) |
| 207R00000X Internal Medicine (Licence: CT 62132) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2022-10-25 |