| NPI | 1801996384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 8738131-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240030) |
| 207R00000X Internal Medicine (Licence: WA MD00042465) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2022-12-06 |