| NPI | 1407436306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-01743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 70803) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-06-06 |