| NPI | 1447719547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 77311-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME174684) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-09-17 |