| NPI | 1689793242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 121947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200700653) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-03-07 |