| NPI | 1003478512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D93257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD490468) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2025-09-26 |