| NPI | 1679100044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023042958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME162744) |
| 207R00000X Internal Medicine (Licence: IL 36165361) | |
| 207R00000X Internal Medicine (Licence: CA A190548) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-09-19 |