| NPI | 1881639953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-00008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038736) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-02-21 |