| NPI | 1922392752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101270472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D85282) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-12-07 |