| NPI | 1215999248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200600940) |
| 207R00000X Internal Medicine (Licence: VA 0101230971) | |
| 207R00000X Internal Medicine (Licence: KY TP978) | |
| 207R00000X Internal Medicine (Licence: KY 49346) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2022-05-24 |