| NPI | 1982820056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD163541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2010-0221) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-05-24 |