| NPI | 1811992738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0095079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101281324) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-03-12 |