| NPI | 1578068466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101282154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 30407) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2026-04-17 |