| NPI | 1013968650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200200609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 16842) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-01-20 |