| NPI | 1962425157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME165140) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2026-05-26 |