| NPI | 1508432816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2025-0429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-078985) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-07-31 |