| NPI | 1528641545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101281662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD226403) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-11-25 |