| NPI | 1184770976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G080035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D65559) |
| 207R00000X Internal Medicine (Licence: DC MD036443) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-12-03 |