| NPI | 1316049125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 45102) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-09-25 |