| NPI | 1689964538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 207955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.207955) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-03-07 |