| NPI | 1558320432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C169736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME93337) |
| 207R00000X Internal Medicine (Licence: MI 4301088846) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-04-18 |