| NPI | 1538844089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 61616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116038168) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2026-07-09 |