| NPI | 1225052103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME117698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268075) |
| 207R00000X Internal Medicine (Licence: PA MD429595) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2026-01-13 |