| NPI | 1538369848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101236721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 34875) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2025-07-30 |