| NPI | 1912964610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 155226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 43459) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-07-20 |