| NPI | 1164680336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C161088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273240) |
| 207R00000X Internal Medicine (Licence: UT 75844871205) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2019-03-12 |