| NPI | 1861447591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME58679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME64413) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-06-20 |