| NPI | 1548239932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C156195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.123499) |
| 207R00000X Internal Medicine (Licence: WV 21316) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-03-04 |