| NPI | 1215566930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 80056-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.170541) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2025-06-25 |