| NPI | 1205852134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-01322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 19430) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-12-31 |