| NPI | 1225412349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 96584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 38246) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2026-05-21 |