| NPI | 1689869570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A102097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249741) |
| 207R00000X Internal Medicine (Licence: GA TL001670) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2023-05-18 |