| NPI | 1801092424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81273) |
| 207R00000X Internal Medicine (Licence: GA 90494) | |
| 207R00000X Internal Medicine (Licence: AL 43267) | |
| 207R00000X Internal Medicine (Licence: TN 64659) | |
| 207R00000X Internal Medicine (Licence: LA 329069) | |
| 208000000X Pediatrics (Licence: AZ 81273) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-12-09 |