| NPI | 1689364531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME178668) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C7-0018195) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2026-06-01 |