| NPI | 1801026448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017029856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49954) |
| 207R00000X Internal Medicine (Licence: TX P4947) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2021-09-13 |