| NPI | 1629339783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-04718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL34780) |
| 207R00000X Internal Medicine (Licence: SC 34780) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-10-24 |