| NPI | 1356319826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A93507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 22578) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-11-22 |