| NPI | 1043832413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101277566) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101277566) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2025-05-30 |