| NPI | 1124091301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 41648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101229992) |
| 207R00000X Internal Medicine (Licence: KY 41561) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2018-11-16 |