| NPI | 1962598912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101280212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 030559) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-08-15 |