| NPI | 1821373135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS 11145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203245) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2021-12-05 |