| NPI | 1881755668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101241268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 9131) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-09-10 |