| NPI | 1699898312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012003213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 532) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-04-25 |