| NPI | 1013146794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C158270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23675) |
| 207R00000X Internal Medicine (Licence: OR MD163108) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-11-19 |