| NPI | 1942281365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A055192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101284190) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2025-07-30 |