| NPI | 1073359493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5315261372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.084983) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2025-09-20 |