| NPI | 1124479936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101024864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022235) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2025-05-13 |