| NPI | 1811147093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61087215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.054959) |
| 207R00000X Internal Medicine (Licence: MA 247264) | |
| 207R00000X Internal Medicine (Licence: NH 17076) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2020-12-28 |