| NPI | 1912214453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-9295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254367) |
| 207R00000X Internal Medicine (Licence: MD P25276) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2020-11-18 |