| NPI | 1730257411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD17709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME EC05076) |
| 207R00000X Internal Medicine (Licence: ME 017709) | |
| 207R00000X Internal Medicine (Licence: MN 55033) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-11-29 |