| NPI | 1497169908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 27083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.143941) |
| 207R00000X Internal Medicine (Licence: TX R4402) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-09-15 |