| NPI | 1225228240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 40745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS10165) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-12-14 |