| NPI | 1285257303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 103156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD480183) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2025-02-24 |