| NPI | 1598198012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV #ED0372A) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2025-03-12 |