| NPI | 1679005763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0104642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 68965) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-08-21 |