| NPI | 1538664529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 08446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289977) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-05-13 |