| NPI | 1376119750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 104406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME162090) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2025-10-10 |