| NPI | 1851687610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 18044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME137768) |
| 207R00000X Internal Medicine (Licence: GA 81622) | |
| 207R00000X Internal Medicine (Licence: CA A150017) | |
| 207R00000X Internal Medicine (Licence: NC 2018-02467) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2022-04-19 |