| NPI | 1871565424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 10228923-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD424501) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2021-11-12 |