| NPI | 1518142504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60655600) |
| 207R00000X Internal Medicine (Licence: NV 25761) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2025-09-11 |