| NPI | 1336108455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9901077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 92515) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2024-06-19 |