| NPI | 1720168735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 22390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 34206) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-11-10 |