| NPI | 1598771297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD14728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 38669) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-09-30 |