| NPI | 1730161951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME159218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10085) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-09-02 |