| 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 |