| NPI | 1043277882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-01022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 40701) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-01-25 |