| NPI | 1497890891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-00741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 18502) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-11-30 |