| NPI | 1063631240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME66946) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME66946) |
| 207R00000X Internal Medicine (Licence: AZ 22493) | |
| 207R00000X Internal Medicine (Licence: CA A55041) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-10-03 |