| NPI | 1265662688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-03267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 28717) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2022-08-23 |