| NPI | 1053997759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS21048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0076530) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2026-04-30 |