| NPI | 1932130200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 112907) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 112907) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-07-16 |