| NPI | 1952506925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01092391A) |
| 207R00000X Internal Medicine (Licence: NC 2024-00611) | |
| 207R00000X Internal Medicine (Licence: PR 16425) | |
| 207R00000X Internal Medicine (Licence: TX N7251) | |
| 207R00000X Internal Medicine (Licence: DE C1-0026909) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2024-08-08 |