| NPI | 1497970479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 9585A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 29647) |
| 207R00000X Internal Medicine (Licence: ME MD22865) | |
| 207R00000X Internal Medicine (Licence: SD 9635) | |
| 207R00000X Internal Medicine (Licence: NC 2010-00874) | |
| 207R00000X Internal Medicine (Licence: ID M-14139) | |
| 207R00000X Internal Medicine (Licence: MT 43817) | |
| 207R00000X Internal Medicine (Licence: GA 64878) | |
| 207R00000X Internal Medicine (Licence: AK MEDS6475) | |
| 207R00000X Internal Medicine (Licence: HI MD-15315) | |
| 207R00000X Internal Medicine (Licence: SC 30175) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-03-18 |