| NPI | 1003069535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 046762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 238252) |
| 207R00000X Internal Medicine (Licence: FL ME110370) | |
| 207R00000X Internal Medicine (Licence: IL 036-132645) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2025-05-02 |