| NPI | 1467718007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019652) |
| 207R00000X Internal Medicine (Licence: OH 34.013565) | |
| 207R00000X Internal Medicine (Licence: NC 2018-02013) | |
| 207R00000X Internal Medicine (Licence: CA 20A13460) | |
| 207R00000X Internal Medicine (Licence: TX S0941) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2020-08-26 |