| NPI | 1255990677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-03284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 91148) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-10-07 |