| NPI | 1114903275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-00587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47737) |
| 207R00000X Internal Medicine (Licence: WI 50420) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-03-07 |