| NPI | 1487815080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10031865) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2026-05-29 |