| NPI | 1912968090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 045224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0060010) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-09-10 |