| NPI | 1942329842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200701302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 120954) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-01-23 |