| NPI | 1366419624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200500060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 30674) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2025-09-15 |