| NPI | 1235669664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 98676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315085473) |
| 207R00000X Internal Medicine (Licence: OH 35.138951) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-05-16 |