| NPI | 1295048213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 070321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097388) |
| 207R00000X Internal Medicine (Licence: OH 35-131721) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-03-04 |