| NPI | 1609838580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9900758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 042518) |
| 207R00000X Internal Medicine (Licence: SD 4129) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-09-29 |