| NPI | 1700047396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 63324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME112372) |
| 207R00000X Internal Medicine (Licence: WA MD61156924) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-02-16 |