| NPI | 1548435456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-01308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225743) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2021-08-09 |