| NPI | 1073002317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.49638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 65015) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2025-09-24 |