| NPI | 1073620530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-01587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 894) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-10-31 |