| NPI | 1184622607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 37233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-02353) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2023-07-28 |