| NPI | 1366683419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-02222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 52774) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2026-05-12 |