| NPI | 1891740270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 46834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2005-0482) |
| 207R00000X Internal Medicine (Licence: FL ME93992) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-09-17 |