| NPI | 1861635427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101251006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0073392) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-11-27 |