| NPI | 1346866852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301509016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1018632) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2025-07-16 |