| NPI | 1780879551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: GA 068088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA TL002789) |
| 2085R0001X (Licence: AL MD.41723) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2022-06-23 |