| NPI | 1508068057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D88445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117627) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2026-08-21 |