| NPI | 1669751848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 48634) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MT 198807) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2025-04-17 |