| NPI | 1801954672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101234451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 22792) |
| 174400000X Specialist (Licence: MD D0058488) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-07-21 |