| NPI | 1942542337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 39913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54700) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2025-01-07 |