| NPI | 1477299964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 28103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R79527) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-09-17 |