| NPI | 1881630291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101056457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 101056457) |
| 207R00000X Internal Medicine (Licence: VA DEABY6348622) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-02-07 |