| NPI | 1932268588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-00151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 054419) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-07-26 |