| NPI | 1912197443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD207404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 30576) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2025-05-15 |