| NPI | 1053348896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60192791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 208594) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-11-13 |