| NPI | 1861414435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 74374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 7783) |
| 207R00000X Internal Medicine (Licence: MN 41756) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-03-18 |