| NPI | 1003929985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 116672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-00513) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-06-29 |