| NPI | 1063618932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010023232) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-10-27 |