| NPI | 1689751505 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101242960)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 102792)  | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 49159)  | |
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2022-07-20 |