| NPI | 1952531147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-02656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013255) |
| 207R00000X Internal Medicine (Licence: NM A-1683-12) | |
| 207R00000X Internal Medicine (Licence: CO DR.0058360) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2021-10-04 |