| NPI | 1639596752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 134482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274889) |
| 207R00000X Internal Medicine (Licence: CT 60481) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-09-08 |