| NPI | 1912955246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me74147) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 75861) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2026-06-22 |