| NPI | 1396026654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025041817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14168) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2025-10-28 |