| NPI | 1740466903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-02486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 060478) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2020-04-30 |