| NPI | 1245382795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301092791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69704) |
| 207R00000X Internal Medicine (Licence: WI 60883) | |
| 207R00000X Internal Medicine (Licence: FL TRN8929) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-06-05 |