| NPI | 1629331673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-00446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35 121925) |
| 207R00000X Internal Medicine (Licence: CA A 119833) | |
| Enumeration Date | 2012-06-23 |
| Last Update Date | 2021-01-26 |