| NPI | 1891736609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0017003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 9878) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-07-18 |