| NPI | 1588301907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-54664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12470) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-07-07 |