| NPI | 1427686799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 39110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014115) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-05-05 |