| NPI | 1811087455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-03522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101237301) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-04 |