| NPI | 1639355209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60389340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79588) |
| 207R00000X Internal Medicine (Licence: NC 2019-00280) | |
| 207R00000X Internal Medicine (Licence: CT 045128) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2026-01-27 |