| NPI | 1619951779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 24218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 36442) |
| 207R00000X Internal Medicine (Licence: FL ME69745) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-09-03 |