| NPI | 1013585736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 3015669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021021843) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-03-31 |