| NPI | 1225418957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-01999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 30817) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-09-20 |