| NPI | 1073749156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-00754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 156984) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-01-24 |