| NPI | 1871820704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 076858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35959) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2021-07-12 |