| NPI | 1447480108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A118620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012017206) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2025-10-13 |