| NPI | 1053687095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22269) |
| 207R00000X Internal Medicine (Licence: CA A156329) | |
| 207R00000X Internal Medicine (Licence: OH 35.134379) | |
| 207R00000X Internal Medicine (Licence: NY 294753) | |
| 207R00000X Internal Medicine (Licence: VA 0101265406) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-08-14 |