| NPI | 1831358936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 77244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 66240) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-04-26 |