| NPI | 1528625548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-02737) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102207123) |
| 207R00000X Internal Medicine (Licence: VA 0116033072) | |
| 207R00000X Internal Medicine (Licence: SC 89901) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2025-05-14 |