| NPI | 1861683260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-01889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 54452B) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2021-03-18 |