| 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 |