| NPI | 1164454849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 024891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01134) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-05-20 |