| NPI | 1255309001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME76506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0060443) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2025-05-14 |