| NPI | 1952458929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 38616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A73965) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-10-01 |