| NPI | 1558002212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0018768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 83402-20) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-08-13 |