| NPI | 1396091062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-12780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD491456C) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2025-12-02 |