| NPI | 1265571251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-00788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2002R82) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-03-18 |