| NPI | 1477852663 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO207256) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12481) | 
| Enumeration Date | 2011-03-28 | 
| Last Update Date | 2025-05-13 |