| NPI | 1235542531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A154332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461484) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2025-11-20 |