| NPI | 1922134774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2016-0757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0068667) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-08-30 |