| NPI | 1801825674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 17300A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS009248L) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-08-28 |