| NPI | 1134793953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101028193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151015286APP21) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2025-03-26 |