| NPI | 1982778841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0043108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME66753) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-11-18 |