| NPI | 1760410393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 24545) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-06-27 |