| NPI | 1467475061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200201297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101270343) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-03-24 |