| NPI | 1699966531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD126310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17062) |
| 207R00000X Internal Medicine (Licence: AZ 75459) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2025-04-01 |