| NPI | 1164354304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5151018186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315267590) |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |