| NPI | 1467595777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C127860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236796) |
| 207R00000X Internal Medicine (Licence: PA MD437331) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-04-23 |