| NPI | 1063521292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 40367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19071) |
| 207R00000X Internal Medicine (Licence: TN 36316) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-12-14 |