| NPI | 1942225206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101011848) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101011848) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-08-26 |