| NPI | 1982960563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 62078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 62078-20) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2021-12-01 |