| NPI | 1649896986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 101858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 33947) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-07-11 |