| NPI | 1104001692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 49780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025000166) |
| 207R00000X Internal Medicine (Licence: AZ 74043) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2025-02-12 |