| NPI | 1467542902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301053587) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2026-08-14 |