| NPI | 1881906030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A125610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00260) |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2025-09-23 |