| NPI | 1346760634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-02202) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 207R00000X Internal Medicine (Licence: VA 0102205394) | |
| 207R00000X Internal Medicine (Licence: CA 20A19271) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-10-02 |