| NPI | 1326712381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0103351) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116038610) | 
| Enumeration Date | 2021-08-03 | 
| Last Update Date | 2025-07-09 |