| NPI | 1073878682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-0133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315056178) |
| 207R00000X Internal Medicine (Licence: MI 4301101307) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-04-04 |