| NPI | 1962674143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 63329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001986) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2022-10-31 |