| NPI | 1922075431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 83412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 60631) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 60631) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2022-02-01 |