| NPI | 1700819406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43708) |
| 207R00000X Internal Medicine (Licence: TN 28822) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-03-07 |