| NPI | 1942457908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C142075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 48724) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2021-07-02 |