| NPI | 1407416506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025018412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71746) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-07-10 |