| NPI | 1407382799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD225695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10955762-1205) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2026-03-19 |