| NPI | 1639108723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200601119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 27930) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2025-04-03 |