| NPI | 1366556748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 168946)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 31508)  | 
| Enumeration Date | 2006-08-19 | 
| Last Update Date | 2022-03-25 |