| NPI | 1366024309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101283953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 26558) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2026-04-07 |