| NPI | 1336335108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 052285) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2024-04-12 |