| NPI | 1336709401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-02712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021036601) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-09-30 |