| NPI | 1063775591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.34392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00538) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2025-07-22 |