| NPI | 1720214281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-00622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31771) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-01-25 |