| NPI | 1598964967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0067311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME174480) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2025-11-04 |