| NPI | 1003908757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD14942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2006-0300) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-05-07 |