| NPI | 1316977119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-02916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041706) |
| 207R00000X Internal Medicine (Licence: MA 219124) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-27 |