| NPI | 1528472610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 128385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116026994) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2026-04-24 |