| NPI | 1770808644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 52385) |
| 207R00000X Internal Medicine (Licence: CT 56376) | |
| 207R00000X Internal Medicine (Licence: OR 172772) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2021-12-27 |