| NPI | 1982040960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 31441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD176875) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2026-06-04 |