| NPI | 1518373711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 69698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 59502) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 59502) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-03-23 |