| NPI | 1124045638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 199982) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 48083) |
| 207R00000X Internal Medicine (Licence: TN 48083) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-07 |