| NPI | 1912063256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR md26310) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-11-13 |