| NPI | 1518136183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 87195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28279) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2024-06-19 |