| NPI | 1497321525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025027548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100043) |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2026-06-11 |