| NPI | 1235691650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS17893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP924) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-12-15 |