| NPI | 1861507881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240046) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-04-17 |