| NPI | 1184186736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 64877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025008009) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-10-17 |