| NPI | 1275723017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-00228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013146A) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2021-04-13 |