| NPI | 1972505923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01079489A) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2024-01-09 |