| NPI | 1912011503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4265) |
| 207R00000X Internal Medicine (Licence: CA 20A10094) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-06-02 |