| NPI | 1609097708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 122281) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-08-30 |