| NPI | 1578925251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 91409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470260) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-11-03 |