| NPI | 1265582233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD176992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A94855) |
| 207R00000X Internal Medicine (Licence: WA MD60852597) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2026-06-09 |