| NPI | 1477931517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 4208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-02554) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2024-04-10 |