| NPI | 1124236450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 86829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29429) |
| 207R00000X Internal Medicine (Licence: FL ME99081) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-09-14 |