| NPI | 1912276890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11186) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2024-03-19 |