| NPI | 1790987501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-18258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111982) |
| 207R00000X Internal Medicine (Licence: DE C1-0009197) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-04-22 |