| NPI | 1215464243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 1215464243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101268616) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2026-01-27 |