| NPI | 1366469199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301058222) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-10-12 |