| NPI | 1649229931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA TO61127519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4222) |
| 207R00000X Internal Medicine (Licence: NV 1271) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2021-03-02 |