| NPI | 1316523830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.078123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301512233) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-06-09 |