| NPI | 1679138051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301506110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2026-00088) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2026-02-02 |