| NPI | 1265793004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A146161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251892) |
| 207R00000X Internal Medicine (Licence: MD D0088541) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2022-11-30 |