| NPI | 1801858774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 34271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 3845) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2022-09-22 |