| NPI | 1760437263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 16939A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036083495) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-09-11 |