| NPI | 1811091960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101271362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 035139) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2023-12-06 |