| NPI | 1841277977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101265772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223492) |
| 207R00000X Internal Medicine (Licence: WI 52669) | |
| 207R00000X Internal Medicine (Licence: OH 35082439R) | |
| 207R00000X Internal Medicine (Licence: NE 21173) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2019-10-23 |