| NPI | 1407044654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD12951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD27820) |
| 207R00000X Internal Medicine (Licence: MA 236329) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-02-16 |