| NPI | 1043598063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 30922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 51674) |
| 207R00000X Internal Medicine (Licence: NY 275773) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2024-09-04 |