| NPI | 1992874606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 79359) |
| 207R00000X Internal Medicine (Licence: GA 057177) | |
| 207R00000X Internal Medicine (Licence: AL 26573) | |
| 207R00000X Internal Medicine (Licence: IL 036-069252) | |
| 207R00000X Internal Medicine (Licence: MN 35270) | |
| 207R00000X Internal Medicine (Licence: MI 4301056729) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-05-21 |