| NPI | 1316687874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0102720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 1316687874) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-08-26 |