| NPI | 1215152202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD F75735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D42146) |
| 207R00000X Internal Medicine (Licence: SC MD88657) | |
| 207R00000X Internal Medicine (Licence: FL ME147909) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-02-10 |