| NPI | 1922311943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0076495) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2020-11-12 |