| NPI | 1184291619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351048320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-13357) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-09-03 |