| NPI | 1245974211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD20456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10078603) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-04-30 |