| NPI | 1467459131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD 12038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME103453) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-04-19 |