| 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 |