| NPI | 1417481896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 88031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 92121) |
| 207R00000X Internal Medicine (Licence: KS 04-49280) | |
| 207R00000X Internal Medicine (Licence: LA 342983) | |
| 207R00000X Internal Medicine (Licence: MI EMC0005091) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-07-29 |