| NPI | 1962451757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 18694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 55269) |
| 207R00000X Internal Medicine (Licence: AL 0026308) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-10-16 |