| NPI | 1689624116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2015023171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD428085) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-05-21 |