| NPI | 1710976444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 64442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME76663) |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2021-08-12 |