| NPI | 1043699374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A168846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464810) |
| 207R00000X Internal Medicine (Licence: PA MT208919) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-11-30 |