| NPI | 1356912059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 193842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-4368) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2025-07-15 |