| NPI | 1548468622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102203110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 48527) |
| 207R00000X Internal Medicine (Licence: NC 140324) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-09-07 |