| NPI | 1649417353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C192209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 63497) |
| 207R00000X Internal Medicine (Licence: OH 57.015029) | |
| 207R00000X Internal Medicine (Licence: NC 2012-00909) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2023-12-05 |