| NPI | 1043329543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 32381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 32821) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-09-30 |