| NPI | 1952366692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME153344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005018781) |
| 207R00000X Internal Medicine (Licence: KS 04-33114) | |
| 207R00000X Internal Medicine (Licence: OK 43646) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2026-09-02 |