| NPI | 1619597234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 00000000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1017510) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2026-07-16 |