| NPI | 1477135580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 33790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025027927) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-09-10 |