| NPI | 1194016600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A150548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 66514) |
| 207R00000X Internal Medicine (Licence: UT 8436452-1205) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2024-04-17 |