| NPI | 1770719825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD159792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL18646) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2026-03-13 |