| NPI | 1255537288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D69916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 200996) |
| 207R00000X Internal Medicine (Licence: NC 2007-01327) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-09-12 |