| NPI | 1841295250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D46667) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD d46667) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-03-08 |