| NPI | 1801819594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-01288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 28047) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-04-03 |