| NPI | 1558322123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME176412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01038654A) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-09-11 |