| NPI | 1508961269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 041518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 41518) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-03-04 |