| NPI | 1497034615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0078264) |
| 207R00000X Internal Medicine (Licence: PA OT013962) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2021-11-29 |