| NPI | 1558520965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD442786) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-08-19 |