| NPI | 1770783417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 061314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 390200000y) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-01-07 |