| NPI | 1699497461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME177002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351050400APP22) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2025-10-30 |