| NPI | 1821261462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO219883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 545) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2025-03-13 |