| NPI | 1871535302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101242702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0072428) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2022-02-08 |