| NPI | 1629097530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME178099) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301068380) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2026-04-15 |