| NPI | 1760757827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C198436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54240) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2025-04-15 |