| NPI | 1770640369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 22415) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 22415) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-09-10 |