| NPI | 1518094093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-00570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC SC27976) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-02-05 |