| NPI | 1497027064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D79587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17328) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2026-07-16 |