| NPI | 1821077975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E1289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 29884) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2019-05-15 |