| NPI | 1770576597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 31826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11109215-1205) |
| 207R00000X Internal Medicine (Licence: MN 64902) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2024-08-06 |