| NPI | 1407839632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G88539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 021536) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-04-17 |