| NPI | 1316595507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 23801) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 023801) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-08-19 |