| NPI | 1689973174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH Pending) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-00753) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-08-23 |