| NPI | 1457097651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 8176921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151015609) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-06-26 |