| NPI | 1184878225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA T292129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9362) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2022-07-12 |