| NPI | 1538277090 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108407) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90195) | 
| Enumeration Date | 2006-08-26 | 
| Last Update Date | 2025-08-21 |