| NPI | 1891839551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-00598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 91260) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-04-29 |