| NPI | 1689127045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO192939) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO192939) |
| 207R00000X Internal Medicine (Licence: IA R10627) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-03-16 |