| NPI | 1922265164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101262813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0071794) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-11-27 |