| NPI | 1083359152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME171245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351049284) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-06-12 |