| NPI | 1316694722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101279633) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101279633) |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2025-06-03 |