| NPI | 1558396077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A100925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-086809) |
| 207R00000X Internal Medicine (Licence: GA 073338) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-01-13 |