| NPI | 1831355171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 246320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091650) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2022-07-21 |