| NPI | 1770580078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-16310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 184295) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-11-17 |