| NPI | 1457934754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME173003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100088) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-11-05 |