| NPI | 1962605816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-00166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247788) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-01-31 |