| NPI | 1093166829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC D0210012453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4932) |
| 207R00000X Internal Medicine (Licence: MD H0101104) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2026-02-20 |