| NPI | 1063102606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301515904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315262978) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2026-06-25 |