| NPI | 1770711731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-14534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60093470) |
| 207R00000X Internal Medicine (Licence: MA 258531) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2022-02-25 |